Asian Journal of Transfusion Science
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LETTER TO THE EDITOR Table of Contents   
Year : 2017  |  Volume : 11  |  Issue : 2  |  Page : 212
Out of the blue: Blue blood.!


1 Department of Anaesthesiology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
2 Department of Transfusion Medicine, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
3 Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India

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Date of Web Publication11-Sep-2017
 

How to cite this article:
Elakkumanan LB, Cherukat J, Tolson JN, Sistla S, Basavarajegowda A. Out of the blue: Blue blood.!. Asian J Transfus Sci 2017;11:212

How to cite this URL:
Elakkumanan LB, Cherukat J, Tolson JN, Sistla S, Basavarajegowda A. Out of the blue: Blue blood.!. Asian J Transfus Sci [serial online] 2017 [cited 2017 Nov 20];11:212. Available from: http://www.ajts.org/text.asp?2017/11/2/212/214349


Sir,

A 29-year-old male patient with carcinoma of the gastroesophageal junction was posted for transhiatal esophagectomy. Intraoperatively, 2 units of packed red cells were ordered for transfusion to the patient and were issued to the patient as per the departmental standard operating procedure including pretransfusion testing and mandatory visual inspection. During transfusion in the operation theater, anesthesiologists noticed a distinct blue hue in the tubings of the blood administration set [Figure 1]. Immediately transfusion was stopped and noticing that the color of the blood bag being normal, a different blood administration set was connected and transfusion was restarted. The blue color reappeared in the administration set. The transfusion was stopped and the blood bag along with the transfusion set was received by the transfusion department. The blood bag had no discoloration. The tubing of the administration set carrying blood had bluish discoloration which intensified under artificial source of light. The blood that was allowed to flow through the administration set was collected in a clean test tube and was noticed not to have any discoloration or hemolysis. The administration set was flushed with normal saline repeatedly and was then compared with another unused new administration set. This particular administration set (manufactured by P. H. Medisurge, Ahmedabad, Gujarat, India) had a bluish tinge [Figure 2]. The problem was noticed only with the particular batch (lot no ABT-07) of administration set and did not recur after changing the batch.
Figure 1: Blood in the infusion set with a blood bag tube for comparison

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Figure 2: Completely flushed blood administration setthe

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

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Correspondence Address:
Abhishekh Basavarajegowda
Department of Transfusion Medicine, Jawaharlal Institute of Postgraduate Medical Education, Room No. 185, Superspeciality Block, Puducherry - 605 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajts.AJTS_75_16

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2006 - Asian Journal of Transfusion Science | Published by Wolters Kluwer - Medknow
Online since 10th November, 2006